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CHRONIC PANCREATITIS: Sign, Symptoms, Diagnosis, and its Ayurvedic Treatment

Chronic pancreatitis is inflammation of the pancreas that does not heal or improve, gets worse over time, and leads to permanent damage.

Causes of CHRONIC PANCREATITIS

The condition is most often caused by alcohol abuse over many years. Repeated episodes of acute pancreatitis can lead to chronic pancreatitis.

Other causes of CHRONIC PANCREATITIS

  • Autoimmune problems (when the immune system attacks the body).
  • Blockage of the pancreatic duct or the common bile duct, the tubes that drain enzymes from the pancreas.
  • High levels of a fat called triglycerides in the blood (hypertrigly- ceridemia).
  • Hyperparathyroidism.
  • Use of certain medications (especially sulfonamides, thiazides, and azathioprine).
  • Chronic pancreatitis occurs more often in men than in women. The condition often develops in people aged 30-40.

Symptoms of CHRONIC PANCREATITIS

  • Abdominal pain
  • More in the upper abdomen.
  • May last from hours to days.
  • Eventually may be continuous.
  • May get worse from eating or drinking.
  • May get worse from drinking alcohol.’
  • May also be felt in the back.
  • Digestive problems.
  • Chronic weight loss, even when eating habits and amounts are normal
  • Diarrhea, nausea, and vomiting.
  • Fatty or oily stools.
  • Pale or clay-colored stools.

    The symptoms may become more frequent as the condition gets worse. The symptoms may mimic pancreatic cancer. Sitting up and leaning forward may sometimes relieve the abdominal pain of pancreatitis.

Investigations for CHRONIC PANCREATITIS

  • Fecal fat test.
  • Serum amylase, Serum lipase, Serum trypsinogen.
  • Serum IgG4 (for diagnosing autoimmune pancreatitis).
    Inflammation or calcium deposits of the pancreas, or changes to the
    ducts of the pancreas may be seen on:
  • Abdominal CT scan, Abdominal ultrasound.
  • Magnetic resonance cholangiopancreatography (MRCP)

Principles of Treatment for CHRONIC PANCREATITIS

Shamana Treatment

  • Kravyada Rasa-250mg-500mg TID with nimbu svarasa
  • Bilvadi Gulika-250mg-500mg TID with Takra
  • Agnitundi Vati-250mg-500mg TID with warm water
  • Rasaparpati-125mg-250mg TID with Madhu
  • Panchamrita Parpati-125mg-250mg TID with Madhu
  • Bhunimbadi Churna-1 tsf TID with Takra
  • Bhunimbadi Kashaya-1 tsf TID with Takra
  • Kaidaryadi Kashaya-20 ml BD or TID
  • Kaidaryadi Takra
  • Prescription: Same as Kaphaja Grahani

Prevention of CHRONIC PANCREATITIS

Determining the cause of acute pancreatitis and treating it quickly may help prevent chronic pancreatitis. Not drinking a lot of alcohol reduces the risk of developing this condition.

Yoga Therapy for CHRONIC PANCREATITIS

Asana

  • Bhujangasana (1 min.)
  • Pavanamuktasana (2 min.)
  • Dhanurasana (30 sec.)
  • Halasana (1 min.)
  • Akarna Dhanurasana (1 minute on each side)
  • Ardhamatsyendrasana (2 minutes on each side)
  • Makarasana (2 Min.)
  • Shalabhasana (3 Rounds)
  • Udarasanchalana (3 rounds)
  • Matsyasana (1 minute) Paschimottasana (1 minute)
  • Sarwangasana (3 minutes)
  • Ushtrasana (2 minutes)
  • Veerasana (1 minute on each side)
  • Uttanapada 3 rounds
  • Trikonasana (1 minute on each side)
  • Shavasana (when needed)
  • Chakrasana 3 rounds

Pranayama for CHRONIC PANCREATITIS

  • Suryabhedana Pranayama with Kumbhaka for 10 minutes.
  • Bhastrika Pranayama with Kumbhaka for 10 minutes.

Diet and Lifestyle for CHRONIC PANCREATITIS

Pathya:

  • Drinking plenty of liquids.
  • Eating a low-fat diet.
  • Eating small, frequent meals (this helps reduce digestive symptoms).

Apathya:

  • Avoid smoking and drinking alcoholic beverages.
  • Getting enough vitamins and calcium in the diet, or as extra supplements.
  • Limiting caffeine.

What is the ICD-10 for pancreatitis pancreatitis?

CodeTitle
8.11.9.5.1Idiopathic acute pancreatitis [K85.0]
8.11.9.5.2Biliary acute pancreatitis [K85.1]
8.11.9.5.3Alcohol-induced acute pancreatitis [K85.2]
8.11.9.5.4Drug-induced acute pancreatitis [K85.3]
8.11.9.5.5Other acute pancreatitis [K85.8]
8.11.9.5.6Acute pancreatitis, unspecified [K85.9]

FAQ about Chronic Pancreatitis

How serious is chronic pancreatitis?

Malnutrition and extreme pain are just two of the major issues that chronic pancreatitis can cause if left untreated. Diabetes and pancreatic cancer are long-term risks for those with this illness.

What are the 4 stages of chronic pancreatitis?

Based on the findings of these studies, it is suggested that there are four stages of alcoholic chronic pancreatitis:
I) latent or subclinical;
II) early, or the stage of inflammatory complications;
III) late, or the stage of severe pancreatic insufficiency; and
IV) Advanced, or the stage of secondary and painless pancreatitis.

What not to eat with pancreatitis?

Egg yolks, chocolate, ice cream, whole milk, and processed cheese.
Foods that are fried, deep-fried, or buttered.
Bacon, salami, and sausage.
cakes, pies, cookies, cinnamon rolls, and other pastries.
prepared snacks like mixed nuts, granola and nut bars, and potato chips.

References

Forsmark CE. Pancreatitis. In: Goldman L, Shafer AI, eds. Cecil Medicine 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap46.

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